IPACHTE# I9-S-Liffi:0 Harnett County Department of Public Health 29948
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
yy PROPERTY LOCATION: Q,A 5fdt3s)7FVA`�tl p� �52 /
ISSUED TO: �P�Cr4 Ll. Ln Ca Groz-I ti I P SUBDIVISION LOT # 1
NEW IK '1EPAIR ❑ EAPANSIO ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: g8eL 59 tXQ(as
Proposed Wastewater System T e: 25% --
Projected Daily Flow GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 21st
Pump Required: ❑Yes ❑ No E May quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well IJPc, feet
Permit conditions:
Permit valid for.
IN'nF a years
❑ No expiration
Authorized State Agent: Date: �`� 16'4 I Ac4e SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the tam and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Builder Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout /f
ISSUED T0:�9k—, PROPERTY LOCATION: W`54n (!�2 L )V� )
�SUBExpansion
LOT #
Facility Type: 5
(L. -'x$ ' — ew ❑ Expansion ❑ Repair
Basement? ❑ Yes VD Basement Fixtures? ❑ Yes ❑ No /,!���
Type of Wastewater System** 4��` s x o n ,4Ee� (Initial) Wastewater Flow: � GPD
(See note below, if applicable ❑) �a"�
a�� a Lc.ovfl 2- (Repair)
Installation Requirements/conditions Number of trey s
Septic Tank Size gallons Exact length of each trench I aCi feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of _ 19&4 1% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
all:: -
Conditions: Cr3(ykL c Iy frac. .xsa �'iS�c;Ur n (1
Trench Spacing: 47 Feet on Center
Soil Cover, A>(o rachet
(Maximum soil cover shall not exceed
36' above the trench bottom)
^A` inches below pipe
Aggregate Depth: MA inches above pipe
ri w zP �(\" inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / undeistand the system type spedied it different from the type spedfed on the app/iration. / accept the rperifIradvar of this permit.
OwnedLegal Representative Signature: Date:
This Construction Authorization is subject to invention if the in plan, pla4 or the intended use changes. The Construction AulAarizanon shall not be transferred when there is a change in ownership of the site. This
tomtruetion Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Startle Agent: /Y' Dater �`'
dt�� w u22t Construction Authorizatjon Expiration Date: C-515 OYtai
HTE# J S--6 -43� Permit # R ?/le(a
Harnett County Department of Public Health
Site Sketch
Authorized State Agent:
PROPERTY LOCATOR: L AIAP :S epaA.�
SUBDIVISION LOT #
c—u2lZfK",
Date: C35 /yy IJt€;
Qeap Cp?CoSIJ,� T6 Shal�ocA �JCdt-r_� ►1/�c`yi
r�P4�`� r � r�c��� (�5� tyG��
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: � Applicant: Pyr( d ( CS, C—c•`�f, tome—
Address �� 4A "Date Evaluated: c6 �W-Y&
Proposed Facility:�vL Design Flow (.1949): ��GVp
Location of Site: T✓2- Property Recorded: Mj
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: uger Btyirr� ❑ Pit ❑ Cut
Type of Wastewater: El Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: ;�. v Ac -
0
L
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN
.1956
Sapro
Class
.1944
Restr
Horiz
1)3A
L a 3�
G—�
64 Uj
VR i 0y
1 c5
(.45
46 51t,
Gti 5 r Y
Y�
cam. i5
LS
5`�°
r'5
Description Initial Re air System -----Other Factors (.1946):
S stem Site Classification(. 1948): Pro �S�r�ncxiy S,..i
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR